A study on placenta accreta - Risk factors and Feto maternal outcome in a tertiary institution in Kerala

DR M RAJANI

Volume : VIII, Issue : V, May - 2019

A study on placenta accreta - Risk factors and Feto maternal outcome in a tertiary institution in Kerala

Dr M Rajani

Abstract :

Abstract : Placenta accreta is a fatal obstetric condition and the incidence is increasing due to increasing CS rate. A prospective study was conducted from 1/01/2014 to 1/08/2018 in obstetrics and gynaecology department of Govt, Medical college Kozhikode, Kerala . Aim: To find out the incidence , risk factors and feto maternal outcome in placenta accreta. OUTCOME: There were 71,647 deliveries during the study period .Incidence of placenta accrete was1 in 895. Risk factors were Previous 1 CS (52%) and Previous 2 CS (43.7)% and primary CS 1 (4.3%). USG and MRI were used to diagnose placenta accreta. .Classical CS with hysterectomy was done in 50 (62.5%)cases and LSCS with hysterectomy in 30(37.5%) cases. 10 patients (12.5%) had bladder injury. Mean blood transfusion was of 5.4 pints. There was no maternal mortality